ROBOT IN PRESENT MEDICAL SURGICAL WORLD & PATIENT CARE
Posted by on Friday, 24th May 2013
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Robots are now part and parcel of modern medical world ,previously for doing security of our house ,caring for our needs in home,doing all our house hold activites ,understanding our command to receive our visitors,relatives at our home and office and offer them welcome and a warm reception to cooking our food ,serving on lunch or dinner table,locking our house ,office to be remain secutiy watcher all the day,night,giving us medicines,caring our old parents at home,taking them to doctor,calling doctor serving them with medicines ,every useful Robot is now a days avaible in market ,yes,it is a luxury and come with a hefty price and mostly usedin western or japanese world where lack of human service is present and people are so rich and affluent that money or price is nothing before purchasing any technolodgy or any help service for their house hold or official work.PARO,A THERAPETIC ROBOT AT THE COST OF DOLLAR 21THOUSAND is purchased in US for the senior and old senior citizens by their family members or themselves.
But Robot in medical field has also brought a revolution ,whether to perform a cardiac surgery without making a big cut in chest wall as in open surgery or a big cancer sugery of Prostate or oesophagus where space is limited and ofter we cannot reach to cancer involved part perfectly and cause more damage to near by structure or cannot remove the tumor completely but this ROBORT does it precisely in any narrow space,remove tumor completely, arrest bleeding with minimum injuries to surrounding structures so less post operative complications.so if we want to perform major surgeries through the smallest of incisions with the benefits of a definitive treatment but with the potential for significantly less pain, shorter hospital stay, faster return to normal daily activities as well as better clinical outcomes! The product is called ROBERT OF "DA VINCI " in name and honour of great inventor Leonardo da Vinci who first invented the first robot.
DA VINCI used his phisical knowledge of light and its mechanical utility along with its use in medicine by calculating unparelleled anatomical accuracy and three dimensional details to bring his masterpieces to life. It provides surgeons with such enhanced detail and precision that the system can simulate an open surgical environment while allowing operation through tiny incisions. With the da Vinci Surgical system hospitals are rewriting accepted standards for surgical care and changing the experience of surgery for difficult cancer surgeries of prostate,colon,retoperitoneal tumors,breast,pancreas,liver,kidneys,oesophagus ,ovaries,and mediastinal and brain tumors,liver and kidney transplant surgeries . This breakthrough technology is an effective minimally invasive alternative to both open surgery and laparoscopy. as cost is the factor otherwise even any surgery as removal of appendix or gall bladder of herni or hydrocoele can be done.
ONE ROBOT comes with a price of -6-10 crores in our country so they cannot be established every where in our country ,government is yet to bring ROBOT in premier institute like AIIMS OR PGI CHANDIGARH but PRIVATE PLAYERS who have hijacked whole our Meical industry with the help of Insurance company and charging ROBOTIC even for minor procedures or medical illness has brought ROBOT.ROBOTIC SURGERY IS NOW AVAILABLE IN APPOLO HOSPITAL many branches in Delhi,CHennai,Ganga ram Hospital,Few centres of Fortis and Max Hospital and Gigantic Meidcity of Guragoan or many centres in Banglore and Hyderabad. to serve the so called affluent section of our society or bringing patients from Gulf,UK,USA,Afghanistan,Nigeria,South Africa,Bangladesh,Nepal,Bhutan,Pakistan or srilanka ,japan etc.,in name of cheap treatment and Medical Tourism.
Through the use of the da Vinci Surgical system, surgeons are now able to offer a minimally invasive option for complex surgical procedures. Some of the major benefits experienced by surgeons using the da vinci over traditional approaches have been greater surgical precision, increased range of motion,improved dexterity, enhanced visualization and improved access, Benefits experienced by patients include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusion, less scarring, faster recovery and a quicker return to normal daily activities.
Robort is not a very specilised human being NOR IT IS MASTER BUT it is SLAVE OF SURGEON,SURGEON SITS IN ITS CONSOLE out side OPERATION THEATRE 2-5 METERS AWAY OR SOME TIMES MILES AWAY IN OTHER COUNTRY AND HE SEES THE OPERATION FIELD AND THEN DECIDES HOW TO OPERATE HE IDENTIFIES STRUCTURES LIFT THEM CUT THEM BY PRESSING DIFFERENT BUTTONS AS WE DO IN COMPUTER OR ANY OTHER DIGITAL DEVICE,ROBOT ITSELF DOESNOT PERFORM SURGERY AS OUR HOUSEHOLD OR OFFICE ROBOT DO as programmes are reloaded in them and they do as per their programme but here surgeon every time gives command and these command are small precise and for time as required by Surgeon if surgeon does not understand ROBOT AS A SLAVE will follow it and cut wrong structure,it has no brain,it is controlled by surgeon's brain.So,no surgical outcome can be guaranteed, as surgery is necessarily both patient and procedure specific.
While clinical studies support the effectiveness of the Robotic surgeries, individual results may vary,There are no guarantees of outcome. All surgeries involve the risk of complications. Before we decide on surgery, we should discuss treatment options with patient and vice versa . Understanding the risk of each treatment can help us make the best decision for our individual situation so that post op consumer court cases may be avoided even civil and criminal cases avoided,so better to discuss every thing in detail and take written consent of patient in writing before proceeding for any surgery .For every patient ,it should be understood that it is a same type of surgeries as done conventionally by open method only procedure use ROBOT as instrument then man made Scissors and forcep of open instruments or laproscopic instruments ,only surgeon sees the structure sharply with the use of Computerised instruments and mini digital cameras .
The system replicates the surgeons movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way to perform any type of surgical maneuver without the surgeons input. Does the surgeon have any sensations while performing the procedures ? The system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback substitutes for the tactile sensation and is augmented by the enhanced vision provided by the high resolution 3D view. Although seated at a console few meter away from the patient, the surgeon views an actual image of the surgical field while operating in real time through tiny incisions,using miniaturized, wristed instruments. The system does not maneuver on its own outside of the surgeons direct, real time control.
Robotic surgery, a new tehnology in different parts of the world has its disadvantages also. Its uses and efficacy has not been fully determined. There are not many long term studies on this to confirm or deny its effectiveness. The prominent disadvantages to robotics include Time, Cost , Efficacy and its Compatibility with current and existing conditions with hefty price which is a dream for even middle class in country like India what to talk of poor class. Robotic assisted heart surgeries can take nearly twice the amount of time and the patients are under anaesthesia for longer time . It definitely is more expensive.The cost may fall as surgeons gain more experience and start doing it more often but as the system gets upgraded and improved there are chances that the price may even go higher. Only when these systems gain more multidisciplinary use will the cost become more justified. Another disadvantage is the large system in an overcrowded operating room. The robotic arms are awkward and bulky and there are many instruments needed in the small space. For robotic assisted beating heart surgery the space is even smaller because stabilizers are needed. This cramped area can cause interference with the dexterity of the surgeon. The solution is to miniaturize the robotic arms or have larger operating areas. With either solution, robotics is an especially expensive technology. Current operating room instruments are not compatible with new robotic system. Without the correct equipment, tableside assistance is needed to perform part of the surgery. But with time and improvement in technology, these disadvantages will hopefully be remedied and we shall have a day when robot will be placed on patient on ot table programme will be loaded and like Human Brain or Surgeon it will take decision at every momment recognising normal and abnormal tissue or structur and performing difficult sergeries in no tme with very good result and post opeartive complication utilising less human resource and cost.
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SEX BETTER PERFORMANCE -SOME TIPS OF SEX MISBELIEFS
Posted by on Thursday, 23rd May 2013
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MAN SHOULD BE THE SEXUAL LEADER;
Sexual leader means the partner who has taken responsibility for arousing both oneself and other partner .But,this responsibility should be shared by both partners .if man is not doing so, he is losing the pleasure of sex and extra stimulation then that could be given to him by his partner. EVERY TIME PARTNER SHOULD CHANGE THEIR ROLE to get full pleasure and satisfication.
WOMEN SHOULD NOT INTIATE SEX;
Sex is a two way interaction and it should always be mutual. Both partners should have equal rights to play active role in sex.It is more pleasurable if female partner starts sexual act. MOST OF TIME WOMEN SHOULD INTIATE SEX AND IT IS BENIFICIAL FOR BOTH as female is passive partner and take a long time for arousal by man who oftern discharges before female is aroused so if Female initiates process then satisfication and pleasure will be unquestionable for both as man usually get aroused easily nd femal touch sparcks it better than reading story or watching mobile sms or video.
MEN SHOULD NOT EXPRESS THEIR EMOTIONS:
Those men are more emotional in their sexual act, are usually found to be good partners. Relations between man and woman should be emotionally very strong.MEN SHOULD EQUALLY EXPRESS THEIR EMOTIONS WITHOU EMOTIONS AND STRONG INTEREST IN PARTNER SEX IS INCOMPLETE AND IT IS A SIMPLE FILL UP BLANK AND EMOTION SHOULD BE EQUALLY RESPECTED AND RESPONDED BY FEMALE.
WOMAN SHOULD ALWAYS HAVE SEX WHEN HER PARTNER MAKE SEXUAL APPROCHES;
Women should right to say no, when she does want to have sex.As it is already mentioned sex is mutual act, both should mentally and physically ready.WOMAN’S NO MEANS NO.IT SHOULD BE NEVER BE AGAINST WILL OF ANY PARTNER AS SEX PROVIDES RELAXATION AND SATISFICATION ANY PHYSICAL OR MENTAL INJURY AFTER SEX IS UNWANTED AND BLAME THE WHOLE PROCEDURE.
ALL PHYSICAL CONTACT MUST LEAD TO SEX:
Touching , kissing and cuddling one’s partner can be very fulfilling and always leads to sex.PARTNER SHOULD ALWAYS GIVE EQUAL IMPORTANCE TO ALL PHYSICAL CONTACTS.INTRUSIVE SEX OR PENETRATION IS NOT ALWAYS RULE BUT END RESULT OF SEX.
GOOD SEX LEADS TO WILD SEX:
In reality , during sexual act concentration and arousal can be extremely difficult to maintained for lengthy periods and more typically they wax and wane throughout a sexual encounter.A more relaxed approached to sex, in which both partners take the time to talk, laugh and communicate can be equally or more satisfying.WILD SEX, MOST OF TIME IS TRAUMATIC FOR ONE OR OTHER PARTNER.VAGINAL UP DOWN POSITION IS BEST ONE ,DIFFERENT POSITIONS AND POSTURES MAY BE ACCEPTED BUT BESIDE IT ALL OTHER FORMS ARE ABNORMAL SEX BEHAVIOUR AND PRVERSIONS EVENAnal Sex and Oral Sex is not part of Normal sex and pleasure,these are more part of porn stars and videos whereabnormality is shown mostly for our excitement ,repeation 1-2 times at a time or 2-3 times may be accepted if decided by both partner in good seduce fearless non apprehensive cool and calm environment as possible with wife or loyal partner and here BIRTH of an Institution like Marriage took place.Sex with animals,using toys,giving pain and binding partners or with multiple partners or children or against will of partner or under influence of alchoholor drug or any alluration or within member of same sex (sodomy,phidophils,lesbianism and gay ) are considered as abnormal or perverted sex in India and many states of the world today.
A MAN FEELS LIKE SEX AT ANY TIME:
Life is often hectic , stressful and tiring and man should say ,”Not tonight,darling.i am feeling a bit too tired.Let’s just cuddle”.MAN SHOULD HAVE SEX WHEN HE IS MENTALLY AND PHYSICALLY SOUND not exhausted and tired .sex is essential but not necessarily daily,may be practsed once or twice a week in a Family or at more gap as married life increases in years.
SEX EQUALS INTERCOURSE:
Intercourse is a very pleasurable and very important aspect of sexual act ,however sex does not necessary require intercourse. Manual and oral stimulation can equally pleasurable and may provide a slightly different and noval stimulation, so intrusion or penetration is not always desirable as during mens of wife or pregnancy or any other disease of male or female private parts.
SEX HAPPENS AUTOMATICALLY:
Most of what we know about sex is learned from media, our parents, our friends.Much of this information promotes biased or unrealistic beliefs that may actually interfere with our enjoyment of sex.SEX EDUCATION AND INFORMATION SHOULD BE TAKEN FROM QUALIFIED PERSON.Sex is a wise act necessary to maintain Human race,every body needs a family which comes through sex but it should be planned and done with the consent of both partners in cool calmmy environment without any stress,not simple arousal and do it as formality as it never relaxes us and we became more tense or un satisfied looking for sex from another partner through out whole day and unnecessarily waste our time ,money and peace.
A ‘RESPECTABLE’ WOMAN SHOULD NOT ENJOY SEX TOO MUCH AND SHOULD CERTAINLY NEVER MASTURBATE.:
A respectable woman of any age is asexual being. She should feel free to experiment sexually in any way that feels comfortable.ENJOYMENT OF SEX IS HEALTHY, NATURAL, AND TO BE ENCOURAGED.social respect and position hasgot nothing to say in Sex ,it is involvement of two willing partners in seductive and peaceful environment.female can masturbate too if very much aroused and partner is away to cool themselves in hygienic manner.
ALL OTHER COUPLES HAVE SEX SEVERAL TIMES A WEEK AND HAVE ORGASM EVERY TIME THEY HAVE SEX & ORGASM SIMULTANEOUSLY:
This is not fact & this description of sex may hold in early stages of relationship, it becomes less true as relationship progress.COUPLES MAY BE LEFT WITH A SET OF UNREALISTIC EXPECTATIONS THAT MAY TRIGGER/EXCERBATE SEXUAL PROBLEMS.DO SEX WITH CONSENT OF PARTNENER INVOLVE EMOTIONS NOT FREQUECY OR QUANTITY MATTER BUT IT IS QUALITY WHICH BRINGS SATISFICATION AND PLEASURE.
THERE MUST BE SOMETHING WRONG WITH THE RELATIONSHIP IF SEX IS NOT GOOD:
While a bad relatiohship is unlikely to have good sex, the reverse is not true.A loving couple with stable and communicative relationship may have specific sexual difficulties. REMEMBER THAT GOOD SEX DOES NOT ALWAYS HAPPEN AUTOMATICALLY AND THAT SOME DEGREE OF LEARNING OR RELEARNING MAY BE REQUIRED.ANY DISESE IN MALE OR FEMALE GENITAL ORGANS OR MENTAL CONDITION MAY NOT YIELD GOOD SEX BUT HERE RELATIONSHIP IS RATHER STRONG IN COUPLES.
FORMATION OF SEMEN:
Semen is formed from blood and loss of it will lead to weakness.Like tear ,sweat,Cough it is formed by cells of Testes and seminal vesicles as egg of man to meet egg of female “ovum” formed in ovary during 5th -9th day of Mens cycle anddischrged in uterus on 9th 14th day so sex during this time only yield pregnancy but sperm is secreted 24x7 after stimulation or arousal.
MASTURBATION IS WRONG:
It is commonly believed that masturbation is wrong and leads to mental illness,physical weakness and decrease potency.IT SHOULD BE CLARIFIED THAT THERE IS NO SCIENTIFIC EVIDENCE TO SUPPORT THIS.However excess masturbation leads to early discharge during sex if practiced often.
ROLE OF ‘PHYSICAL STRENGTH’ OR ‘MUSCLE POWER’ IN SEXUAL PERFORMANCE.:
It is a common belief that muscular men or MACHO or ABBS can perform better than averagely built man. IT SHOULD BE CLARIFIED THAT THERE IS NO RELATION BETWEEN MUSCLE POWER AND SEXUAL PERFORMANCE AND WHAT MATTERS IS THE MOTIVATION AND PROPER KNOWLEDGE ABOUT SEX with emotions and cooperation of partners.
SIZE OF THE PENIS:
Very often males are preoccupied with the fact that larger penis are more effective.NORMAL SIZE PENIS IS APPROX. 5-7 INCH LONG but 2-5 inch is also normal .Female enjoys penetration in first 2 inch of her vagina only so these size penis is actively involved in sex pleasure .NO DRUG,ALLOPATHIC,HOMEO OR AYURVEDIC OR OIL OR ANY VIBRATOR CAN INCREASE PENIS LENGTH OR WIDTH so never use them.never get depressed with small size of penis.Similiary deep vagina is also not pleasurable as stated above,large penis or deep fast and strong stroke may rupture vaginal wall or cuffs around cervix or opening of uterus or womb of female in vagina causing serious problem,tightening of vagina is pleasurable so can be aske if repeated child birth has rlaxed vaginal floor muscles but never dilated permanently by ordinary sex.
BENDING OF PENIS.:
Some males are very much distressed with the curverture of penis.IT SHOULD BE NOTED THE SLIGHT CURVATURE OF SHAFT OF PENIS IS PERFACTLY NORMAL AND DOES NOT HARM INTERCOURSE.During sex blood fills in cavernous or venous space of covering of penis and that is why it gets straight and become large.No drug VIGARA OR TADALAFIL is needed to expedite such enlargement ,rather may cause prolonged erection or priaprism leading to fracture of penis if not treated immediately,similiarly female are always excited emotionally and physically ,no drug has got any role.Psychological or emotional roleis important in sexual desire and libido or orgasm or arousal only.
VASECTOMY/TUBECTOMY DECREASES SEXUAL POTENCY:
It is common disbelief.IN FACT USE OF CONTRCEPTION OR SUCH OPERATIONS ENSURE PREVENTION OF FERTILIZATION AND POSSIBLE CHANCE OF PREGNANCY AND HENCE ALLOW THEM TO ENJOY SEX MORE FREELY.EVEN HYSTRECTOMY AND OOPHORECTOMY doesnot decreses sex if our emotions are in place.
DRUGS ENHANCE SEXUAL POTENCY:
It is a common belief that alcohol and/or opioids,Ghaza,Afim, or other drugs improve potency.IT SHOULD BE CLARIFIED THAT THESE DRUGS may TEMPORARILY INCREASE A MEN’S SEXUAL DESIRE, BUT THEY DEFINITELY DECREASE THE SEXUAL PERFORMANC as distract our brain during performance,they create a seductive environment without any role in physical performance,so never use them in sex.
WRITER IS SEX SPECIALIST 07838059592,CONTACT FOR ANY PROBLEM RELATED TO SEX DISEASES OR WEAKNESS.
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SOME MODERN SCIENTIFIC FACTS OF HIV/AIDS INFECTIONS
Posted by on Thursday, 23rd May 2013
SOME MODERN SCIENTIFIC FACTS OF HIV/AIDS INFECTIONS;
------prof.drram ,******@gmail.com,07838059592(HIV/AIDS SPECIALIST)
It is caused by a RNA virus Human Immunodeficiency Virus which cripples our immunity or fighting system (by depleting T Lymphocytes or CD4 cells and increasing killer cells CD8 cells and later decresing our Humoral antibodies too) and invites multiple infections of bacterial,viral,fungal in origin like Pneumonia,Diarrhoea, meningitis and even tumors in side our body and very serious infections affecting any system of our body and killing human being but its symptoms does come after 6-10 yrs of its first entry either by unprotected sex (without condom with ulcers over vagina or cervix or during mens or ulcers or bleeding from penile or glans area,some time simple semen also transmit it if person has got advanced disease but here it spread only one in 1500 in male and one in 2500 female in vaginal sex but one in 3000 in anal sex,it also spread by kissing,or sucking of breast or female genitilia and vice versa but spreads more if puncture by needle as with drug injectors one in 150 but if contaminated by blood of patient by blood transfusion or by coming in contact with needle of pt whois highly infected mostly with doctors,nurse or relative of patient then chances is one in 50,here i mention that hepatitis B spread by such encounter one in 30 and Hepatitis spread one in 15 (so their chance of spread is much more than HIV )AND THEY TOO ARE TYPICALLY VERY BAD TOO AS ARE NEVER CURED and may cause chronic damage to Liver and its cancer.
Inspite of such damage if pt comes to a Doctor within 72 hours and take POST EXPOSURE PROPHYLAXIS (PEP) MEDICINES then it is completely checked,this virus is very heat labile simple wash with bleaching powder,phenol or simple heating or sun exposure kills it,so proper washing and cleaning afte sexual encounter is also very helpful.But if no such precautions taken so for first few days after encounter it cause mild fever pain in joint ,muscles etc and can subside it self usual serious ymptos comes not before 2yrs after exposure but mostly after 8-10 years so patients usually forget every thing but its virus remain patent inside his body and gradually weakens immunity and gradually invite many infections called opputunistic infections and if patient doesnot take medicines then usualldies within 2-3 yrs but if he starts treatment when his CD4 count is below 350 or 500 then with modern medicines which are called ART OR anti retroviral therapy ( as HIV IS a RNA RETROVIRUS as per viral classification Biologically)then his conditions improved Viral Load or quantity in blood decreases,CD4 or protective cells quantity increases in Blood and with this therapy which is taken daily and for whole life without any break in between from Government sponsored ART CENTRES opened in many medical colleges of our country and every district hospital of country or through HIV/AIDS specialist running private clinic.These medicines are safe and usually gives good control over virus and pt can be away from serious disease manifestation for life but it never cures the disease,he has to liva a good life with no unprotected sex,these patient usually maintain abarrier of mixing their blood,semen with others but sweatt,tears or eating playing or mixing or sharing food in same plate or talking or sharing cloth didnot transmit diseases provided if no ulcer or blood oozing present in patients body which can contaminate the nearby.
Therefore,these patients should be never discriminated from society,every body should welcome and mix with them.Even patient should never feel isolated or depressive as continuos treatment under care of ART CLINIC or HIV/AIDS specialist completely keeps disease under control and patient lives a normal life.after first detection of HIV patient in year 1980,much research has been done and Man has developed many good medicines and knowledge abot this virus and disease as a result of this today a patients lives a normal life with these medicines.Before 2-3 months back in Mississippi in US a child was declared completely cured of HIV as his treatment sarted with this ART medicines within 30 hrs of birth,similiarly 14 French patients who were given ART therapy within 10weeks of infection of HIV remains disease free till today even stopping their medication when viral loas was veryvery low but in these patients virus will remain present but if they lives a good healthy life taking precautions for sex,good hygenic food,excercise and prevention for seasonal diseases.
Therefore we say that any mishappening of unprotected sex under influence of alcohol or any reason stimulating it by mistake or by alluration ask for PEP within 72 hrs,consult HIV/AIDS SPECIALIST and then strat ART THERAPY AS SOON AS CD4 count less tha 500 ,in ART CENTRES ART not given if CD4 count less than 200 as it is Government programme so meicines given free and also first generation drugs and many tests like viral load and sensitivity not done but those who can pay get may consult good HIV /SPECIALIST and may start with few new combined good ART thearpy available in market with CD4 count less as stated above and even viral load,sensitivity,HIV GENOTYPE study etc can also be done and tests for many oppurtunistic infections can be also taken to check them by preventive prophylaxsis.
This Virus replicate and transmutes or changes its strain most rapidly then any other virus discovered so to develop an effective vaccine as we developed for small pox,measels,chicken pox ,polio is not possible.Every year 1-7 millions people dies due to this virus inspite of so much developed health infrastrucuture and treatment modalities.Therefore no effective vaccine against this Virus has developed even recently tried the HVTN 505 VACCINS STUDY ALSO FAILED TO CURE DISEASE AND PREVENT OCCURANCE OF THESE DISEASE IN MASS AS WE CONTROLLED POLIO ,INFLUENZA,SMALL POX.
iNDIA BECAME THE THIRD LARGEST COUNTRY AFFECTED WITH THIS VIRUS so its danger is very alarming in our country as modern urbanisation,modern life style,living in relations,our improving economical and social status ,boon in our it and computer sector and advanced internet surfing and mobile connectivity and developed transport ,more intake of alcohol/drug or other sducive advertisement or stimultants ,more modern parties singing,dancing and mating has brought more sexual exposure of young and middle and any unprotexted sex or even protected hasty sexual exposure definitely increases risk of this disesase in our society and many our health projects are conducted in civil hospitals or medical colleges where our middle or urban educated youths hardly go for checkups,didnot yield real picture of this virus incidence or prevalence where our Government is always insisting on hiding statistics and data to earn good name and fame to digest many government and international aid funds for this disease,so we,the people ,have to be more cautious to save ourselves from this disease or its threat to curb this virus nipped into bud by early reprting to HIV/AIDS SPECIALIST for its entry ,detection and treatment.
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Benefit of good and relaxed sex on our body-male/female
Posted by on Thursday, 23rd May 2013
BENEFIT OF SEX;--------
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THERE ARE MANY BENEFIT OF GOOD SEX,MEANS A SEX IN FREE AND FAIR TENSIONLESS ENVIORNMENT WITH CONSENT OF BOTH PARTNERS IN SOUND BRAIN AND ENVIORNMENT BETWEEN TWO MATURED ADULTS IF INDULGE IN SEX WITH ONE'S WIFE OR CLOSE LOYAL PARTNER OR LIVING IN RELATION WHERE BOTH GET SATISFICATION AND RELAXATION DURING AND AFTER THE ACT BUT IF INDULGE IN SEX WITHOUT CONDOM AS COMMON NOW A DAYS,NOW PORN IS AVAIALBLE FREE ON NET BUT HERE YOU CAN DO ONLY OBSEVATORY SEX NOT INTRUSIVE SEX SO SEX RELATED DISEASES DONOT OCCUREXCEPT HABIT OF MASTURBATION MAY CHANGE YOUR SEXUAL SATISFICATION OR BEHAVIUORBUT NOW A DAYS ESCORT SERVICE,REV PARTIES OR INDULGING WITH YOUR CO WORKER OR PARTNER OR YOUR OFFICE MATE OR NEIGHBOUR UNDER INFLUENCE OF ALCOHOL OR MEGA SOUND MUSIC PARTY OF NEW YEAR ,BIRTH DAY OR ANY GOOD OCCASSION OR OTHERWISE COMMERCIAL AVALABLE FLYING OR COMMERCIAL SEX WORKER OR HOUSE MAID AS ADVERTISED ON EVERY NEWS PAPER BOLDLY ,YOU MAY GET AIDS/HIV.HEPATITIS B,HEPATITISC,HERPES,GONORRHOEA,SYPHILLIS,UTI ETC.SO ALWAYS DO PROTECTED AND SAFE SEX.
The BENEFITS of SEX.
Did you know that we can determine if a person is sexually active just by looking at his/her skin?person becomes more cool,calm and relaxed away from depression,anxiety and stress and better composed to take day long activities normally .
1. Sex is a beauty treatment. Scientific tests have shown that when a woman has sex she produces large amounts of estrogen which makes her hair shiny & soft.
2. To make love in a soft & relaxed way reduces the possibility of suffering from dermatitis & acne. The sweat produced cleans pores & makes the skin shine.
3. To make love always allows you burn all the calories accumulated daily.It is agood excecise to burn our extra calories.
4. Sex is one of the safest sports. It strengthens & tones all the body muscles. Its more enjoyable than doing 20 laps in the swimming pool & you don't need special shoes!
5. Sex is an instantaneous cure against depression & stress. It frees endorphines in the blood flow, creating a state of euphoria & leaves us with a feeling of well-being.
6. The more we make love, the more we have the capacity to do more. A sexually active body releases a higher amount of pheromone. This subtle aroma excites the opposite sex !
7. Sex is the safest tranquilizer in the world. ITS 10 TIMES MORE EFFICIENT THAN VALIUM.it endorses good and relaxed sleep.
8. To kiss everyday allows you to avoid the dentist. Kissing produces saliva in cleaning teeth & lowers the quantity of acids causing enamel weakening.
9. Sex relieves headaches. Each time we make love, it releases the tension in our brain veins.
10. To make love a lot can heal a nasal congestion. Sex is a natural antihistaminic. It helps fight asthma & spring allergies.
11.it kills your bad habit of masturbation,voyerism,sodomic behaviour,abnormal sex and doing crime in society in want of sex.
But this sex should be a simple good sex not what shown in porn films and shoot out,meeting after fore play and then proper stimulation,penetration,playing and then relaxation where no partner is hurt and both get good satisfication.
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EARLY CANCER COMPLAINS IN FEMALE TO BE TAKEN SERIOUSLY
Posted by on Saturday, 18th May 2013
-----------DR.RANJU NAKIPURIA,SR.GYNAECOLOGIST 07503303359,DR.D.R.NAKIPURIA SR.MED.CONSULTANT 07838059592
Cancer is highly prevalent in India previously it was thought that cancer except for oral cancer in both sex (which is highest in India due to our tobacco and supari chewing habits) is less here in comparison to whole world but as we grow economically and change our life style now a days beside cervical cancer and ovary cancers,cancer of Breast (27-30/1000) is increasing in female and in male lung,liver,stomach,oesophagus prostate cancer beside blood cancer and lymphomas arequite common.
The estimated number of new cancers in India per year is about 7 lakhs and over 3.5 lakhs people die of cancer each year. Out of these 7 lakhs new cancers about 2.3 lakhs (33%) cancers are tobacco related. India officially recorded over half a million deaths due to cancer in 2011 – 5.35 lakhs as against 5.14 lakh (2009) and 5.24 lakh (2010). UP recorded 89,224 deaths due to cancer, while Maharashtra saw 50,989 fatalities. The Union health ministry says there are about 28 lakh cases of cancer at any given point of time in India, with 10 lakh new cases being reported annually. World Health Organization (WHO) says, the estimated cancer deaths in India are projected to increase to 7 lakh by 2015.on. In whole world and particularly in less educated and economically sound contries like India ,mostly when CANCER is diagnosed till then it reaches in advanced stage and where cure is mostly canot be achieved and we are forced to die early taking simple palliative treatment.so,here lies our concern for this fatal disease if our mother,sisters and daughters take care of following simple complains or abnormality in their physical health and body and report to their physician early ,then Cancer will be diagnosed in early stage or period and when full cure is possible in most cancers.
therefore,we are enumerating few early features or abnormal changes whcih should be taken seriously and to be reported to physician for exclusion of any cancer present,it is not necessary that these are related to cancer only ,many other diseases or some time simple pshysiological variations or our envionmental changes bring these changes,so nothing to be taken very seriously but insteading of ignoring it or simple house hold measures to tackle it or submitted our self to many treatment modalities offer by many pathies and socalled quacks in society ,we should take them to our good family or other Gynaecologists physicians ,sugeons of repute and should get advice for these problems.
No. 1: Unexplained Weight Loss
Many women would be delighted to lose weight without trying. But unexplained weight loss -- say 10 pounds in a month without an increase in exercise or a decrease in food intake -- should be checked out
No. 2: Bloating (Abnormal general swelling, or increase in diameter of the abdominal area)Bloating is so common that many women just live with it. But it could point to ovarian cancer. Other symptoms of ovarian cancer include abdominal pain or pelvic pain, feeling full quickly -- even when you haven't eaten much -- and urinary problems, such as having an urgent need to go to the bathroom. If the bloating occurs almost every day and persists for more than a few weeks, you should consult your physician.
No. 3: Breast Changes
Most women know their breasts well, even if they don't do regular self-exams, and know to be on the lookout for lumps. But that's not the only breast symptom that could point to cancer. Redness and thickening of the skin on the breast, which could indicate a very rare but aggressive form of breast cancer, inflammatory breast cancer, also needs to be examined.Simple breast examination is very helpful if any abnormlity detected must be confirmed by ultrasound,mammography and MRI or simple fnabc or fene needle biopsy to exclude cancer.Without any examination simple submission to these tests are not helpful so simple mammography screening.for fear of exposure to radiation is no more recommended.
No. 4: Between-Period Bleeding or Other Unusual Bleeding
''Premenopausal women tend to ignore between-period bleeding,". They also tend to ignore bleeding from the GI tract (Stomach & Intestine), mistakenly thinking it is from their period. But between-period bleeding, especially if you are typically regular, bears checking out, she says. So does bleeding after menopause, as it could be a symptom of endometrial cancer. GI bleeding could be a symptom of colorectal cancer.
No. 5: Skin Changes
Most of us know to look for any changes in moles -- a well-known sign of skin cancer. But we should also watch for changes in skin pigmentation. If you suddenly develop bleeding on your skin or excessive scaling, that should be checked.
No. 6: Difficulty in Swallowing
If you have difficulty swallowing, you may have already changed your diet so chewing isn't so difficult, perhaps turning to soups or liquid foods such as protein shakes. But that difficulty could be a sign of a GI cancer.
No. 7: Blood in the Wrong Place
If you notice unexpected blood in your urine or your stool. It could be colon cancer. Blood during unusual days is something very alarming.
No. 8: Gnawing Abdominal Pain and Depression
Any woman who's got a pain in the abdomen and is feeling depressed needs a check-up. Some researchers have found a link between depression and Pancreatic Cancer, but it's a poorly understood connection.
No. 9: Indigestion
Women who have been pregnant may remember the indigestion that occurred as they gained weight. But indigestion for no apparent reason may be a red flag. It could be an early clue to cancer of the stomach or throat.
No. 10: Mouth Changes
Smokers should be especially alert for any white patches inside the mouth or white spots on the tongue, according to the American Cancer Society. Both can point to a precancerous condition called leukoplakia that can progress to oral cancer.
No. 11: Pain
As people age they seem to complain more of various aches and pains, but pain, as vague as it may be, can also be an early symptom of some cancers, although most pain complaints are not from cancer.
No. 12: Changes in the Lymph Nodes
If you notice a lump or swelling in the lymph nodes under your armpit or in your neck -- or anywhere else -- it could be worrisome.
No. 13: Fever
If you have a fever that isn't explained by influenza or other infection, it could point to cancer. Fevers more often occur after cancer has spread from its original site, but it can also point to early blood cancers such as Leukemia, according to the American Cancer Society. Other cancer symptoms can include jaundice, or a change in the color of your stool.
No. 14: Fatigue
Fatigue is another vague symptom that could point to cancer -- as well as a host of other problems. It can set in after the cancer has grown, but it may also occur early in certain cancers, such as leukemia or with some colon or stomach cancers, according to the American Cancer Society.
No. 15: Persistent Cough
Coughs are expected with colds, the flu, allergies, and sometimes are a side effect of medications. But a very prolonged cough -- defined as lasting more than three or four weeks -- should not be ignored.
16.unconsciouness/fainting
Some time we notice that we are forgetting many things instantly (loss of short memories) and family members say that you have lost rour consciousness or fully awke and alertness fos some time,these could be due to Brain cancers associated mostly with headache and convulsion or weakness of some body parts.
17.Vaginal white discharge
Very commonly complained by female but if it is excessive or mixed with blood or associated with dysuria or difficulty and pain during sex or mixed with blood,internal examination by gynaecologist and pap smear examination is a must.
18.Discharge or secretions fro any where
Discharge of any abnormal fluid or Blood from breast ,mouth or ear or from nose or by rectum or vagina or sin or eyes is always suspected badly and must be submitted for cytological examination and concerning part should be evaluated immediately.
19.swelling/Abnormal growth
If we notice any swelling or abnormality in our body part over skin or limbs or over our bones or back or breast or scalp or in neck then it must be shown to physician a simple Fine needle aspiration biopsy or cytology with or without help of ultrasound and other radiological examination will exclde cancer.
20. Dis ability
If we notice that our some part is disable as with muscloskeletal,spinal and bony tumors or we are suffering some thing for long time or our body immunity has decreased and we are submitted to different viral or tubercular or other bacterial or fungal infections then suspicion for some hidden or occult cancer in our body either of blood or reticulo endothelial system or a part of multiple endocranic neoplasia.
21.alteration of voice
If our voice get chowked or we cannot utter words with same tone as normally or facing difficulty in breathing or taking foods or discharging excessive water y saliva or blood from mouth or nose orpharharyngeal or laryngeal cancers must be suspected and ruled out.
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